This bead bracelet is made of Swarovski crystal bicones in two shades of Sian separated with a hint of silver bead, Swarovski crystal shiny light grey pearls, and a single accent Swarovski crystal dark grey pearl surrounded by red rhinestone rondelle. Stainless steel designer tag can be engraved with your medical information on back. If the size of this bracelet is not appropriate for your wrist size, you can purchase the tag and bead bracelet in other sizes on the beaded-medical-bracelets page. https://www.stickyj.com/category/beaded-medical-bracelets